Facial balance is one of the primary goals of cosmetic surgery. The components of facial balance include symmetry, proportion, size, and shape. Balance can be dramatically different in each individual patient. Achieving balance may require total facial structural change or simply changing one part. There is a spatial relationship that exists on the face. This relationship is defined by the bony measurements and angles of the face, called cephalometric measurement. The ideal face can be derived, by measuring the average bony relationship. However, the numerically perfect ideal face is not necessarily an attractive face. Therefore, cephalometry should be used as only a guideline. A beautiful face can take all shapes, sizes, and forms. There is no specific face that defines all beauty. Therefore, focus should not be on the individual parts of the face, but on the face as a whole.
Many Asians have a large facial structure and flattened forehead area. The cheekbones are prominent and wide. The jaw line can also be profoundly protuberant. The cheekbones can be reduced through small incisions inside the mouth. Then the bone is broken and set in a lower position. The jaw line is also reduced through incisions inside the mouth to conceal the scar. These procedures can significantly impact the size of the face and facial balance is achieved.
Liposuction of the face is done to shape and sculpt the face. Conversely, fat injection is used to fill out hollow cheeks. Forehead contour is an area of concern for many patients. An irregular and flattened forehead is not aesthetically pleasing. By filling this area with synthetic bone the forehead contour can be permanently augmented and reshaped.
Many Asian patients are unhappy with their profile. They see their profile as flattened, with the mouth as the dominant feature. This facial imbalance can be corrected by inserting small facial implants in the midface and chin. This simple procedure can have dramatic results.